COVID-19 Vaccination Plans: Arkansas, California, Colorado
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The GIS mapping of the COVID-19 vaccination provider will support the fair distribution of the COVID-19 vaccine in Arkansas. Each provider in the State will receive an ADH-developed Storage and Handling Power Point upon enrollment in the COVID-19 vaccination program. California established the California Governor’s COVID-19 Vaccine Task Force to oversee the overall planning and implementation of a vaccine distribution strategy throughout the State. The Director of the California Governor’s Office of Emergency Services (Cal OES) will support local jurisdictions with any additional security needs in the State if requested. Detailed information is below.

COVID Vaccination Plans for Arkansas

Distribution

  • Equitable distribution of the vaccine in Arkansas will be supported by GIS mapping of COVID-19 vaccination providers.
  • Before any vaccine is distributed, a COVID-19 Vaccine Redistribution Agreement will be required. Provider sites that receive COVID vaccines are required to have a signed Center for Disease Control (CDC) COVID-19 Vaccination Provider Profile form on file with ADH.
  • The State will monitor the need and use of the COVID-19 vaccine once the distribution is done across the State. For vaccines that need to be redistributed, ADH staff will work with the provider to arrange transport of the vaccine.
  • Providers will only redistribute COVID-19 vaccines after signing a redistribution agreement, and the transport equipment and storage units at the new vaccination site are approved. Providers planning to redistribute COVID-19 vaccines must use approved transport containers, and all vaccine transfers must be entered into WebIZ.
  • Vaccine redistribution by enrolled providers will be limited to refrigerated COVID-19 vaccines. If frozen or ultra-cold vaccine redistribution is needed, it will be performed by a representative of ADH. Vaccine storage temperature logs will be reviewed prior to the redistribution of any vaccine. The vaccine temperature will be monitored during transport and upon arrival at the designated clinic.
  • Once enrolled in the State IIS, participating providers can use the vaccine management team for vaccine distribution. Participating providers’ COVID-19 vaccine inventory can be monitored by doses on hand, doses administered, expired doses, and wasted doses daily.

Storage

  • Before individual provider locations order COVID-19 vaccine, each must submit information or pictures on the clinic data loggers and storage units, including how each data logger will be placed in each storage unit used to store COVID-19 vaccine.
  • All providers receiving the COVID-19 vaccine will be required to undertake the CDC’s You Call the Shots Storage and Handling web-based immunization training course. The certificate of completion must be submitted to the Immunization Program before the provider can order the COVID-19 vaccine.
  • Each provider will receive an ADH-developed Storage and Handling Power Point upon enrollment in the COVID-19 vaccination program. Information from CDC’s Vaccine Storage and Handling Toolkit specific to COVID-19 vaccines will be provided to each enrolled COVID-19 vaccine provider.
  • During off-site clinics, providers will only be allowed to transport COVID-19 vaccines after appropriate storage containers are verified by the CDC Vaccine Storage and Handling Toolkit.
  • While at off-site clinics, the vaccine will be stored in a portable storage unit, certified transport container or the manufacturer-supplied transport container.
  • All temperatures will be reviewed after off-site clinics have taken place before the vaccine is placed back into the permanent storage unit.
  • A COVID-19 vaccine “storage and handling cheat sheet and fact sheet will be distributed to each provider to use as a quick reference guide for COVID-19 vaccine storage and handling while offsite.”
  • Vaccine storage temperature logs will be reviewed before any vaccine is redistributed, and the vaccine temperature will be monitored during transport and upon arrival at the designated clinic.
  • ADH will assess the storage units and data loggers for all providers who plan to hold and redistribute COVID-19 vaccines for other clinics. “Providers redistributing COVID-19 vaccines must use a portable storage unit or certified transport container to transfer vaccines. Temperatures must be monitored using a digital data logger. In addition, temperatures must be monitored during transport and when they arrive at the destination clinic.”

Prioritization / Hierarchy of Who Receives Vaccine

  • The anticipated groups to be prioritized to receive the vaccine(s) for Phases 1, 2, and 3 will be based on the latest Advisory Committee on Immunization Practices (ACIP) recommendations.
  • Phase 1 will occur with potentially limited dose availability. Arkansas personnel in critical functional roles in Phase-1A will receive initial COVID-19 vaccine to maintain Arkansas–wide operational capacity. Phase-1B tier population will proportionally receive initially available, potentially limited, doses.
  • Phase 1-A will cater for health care personnel likely to be exposed to patients with COVID-19, including those working in hospitals, primary care clinics, home health care, dialysis treatment centers, plasma and blood donation workers, long-term care facilities, public health nurses, school and university health clinics, and ADH Local Health Units. The phase will also serve health care workers providing testing or vaccinations for COVID-19, first-responders & emergency preparedness workers (like fire departments and Emergency Medical Service), and essential government leaders.
  • Phase 1-B will serve people at increased risk for severe illness from COVID-19, including those with underlying medical conditions like people aged 65 and older, essential workers at increased risk like daycare employees, employees of State correctional facilities, k-12 school employees, law enforcement, meatpacking plant workers, other Government employees, local government offices and Division of Workforce Services)
  • Phase 2 will occur when there is a large number of doses available, and supply is meeting demand. The scenarios in this phase include when the supply of available vaccine has increased providing access to vaccination services for a larger population, and vaccination is expanded to all Phase-1 populations not previously covered. The phase targets broad provider networks and health care settings, including medical facilities, pharmacies, other critical infrastructure personnel like those in transportation and utility, other food processing and manufacturing plants, residents of long-term care facilities and other congregate-living facilities, and university employees.
  • Phase 3 is to take place when there is likely sufficient supply and slowing demand. The scenarios include when there is likely a sufficient vaccine supply and slowing demand for vaccinations, an expanded Phase-2 with vaccine administration network for increased access in Arkansas. The phase also includes monitoring of COVID-19 vaccine uptake and coverage in critical populations and applying enhanced strategies to reach populations with low vaccination uptake or coverage, targeting hard to reach populations, the homeless, vulnerable populations, and low vaccination uptake or coverage areas.

Data & Reporting

  • The ADH will use the State IIS and WebIZ to collect vaccine administration information. All providers administering COVID-19 vaccines will be required to submit vaccination information to the IIS within 24 hours of vaccine administration. Providers with Health Level 7 (HL7) 5 data transfer capabilities will be required to transmit COVID-19 vaccination data, including all data requirements, and ensure that the data is accurate.
  • Providers who submit data requirements via HL7 will be required to manually update all inaccurate or incomplete data in the IIS for all submitted vaccinations. Electronic data submission must occur within 24 hours of documentation. Providers without HL7 capabilities will be required to submit all COVID-19 vaccination data directly into the IIS within 24 hours of vaccination.
  • All enrolled COVID-19 vaccination providers will be required to follow guidelines in the Arkansas’s Immunization Reporting Requirements document and the federal immunization document outlined in the National Childhood Vaccine Injury Act enacted in 1986.
  • The State will submit COVID-19 vaccine administration data via the Immunization (IZ) Gateway. Since all COVID-19 vaccinations must be entered into the IIS, the Arkansas IIS vendor, Envision, is working to ensure that all required data elements can be submitted to CDC either via the Immunization (IZ) Gateway Connect or via an extract from the IIS.
  • An IIS instruction guide will be provided to each enrolled COVID-19 vaccination provider to ensure they are ready.
  • To ensure real-time documentation and reporting of COVID-19 vaccine administration data from satellite, temporary, or off-site clinic settings, providers will be required to hold off-site vaccinations where there is the internet. In cases where there is a problem with the internet, providers must report the data immediately once it is available.
  • The Immunization Program will run reports on each provider to verify that the date the vaccination was entered into WebIZ is within 24 hours of vaccine administration. Providers will be required to document all CDC-required data with each vaccine administration.
  • The Arkansas IIS will collect information such as race, language, ethnicity, employment information, occupation, allergies, chronic medical conditions, foreign travel, history of blood receipt, and disease immunity from persons who will receive the COVID-19 vaccine.

Governance

  • The ADH is a centralized health department with an office in each of the State’s 75 counties. Also, ADH has three WIC only clinics and one TB Outreach clinic that also provide immunizations. Organizational centers and branches are used to oversee departmental operations.
  • The ADH has formed an agency internal working group called the Pandemic Vaccination Planning Group (PVPG) as well as a formal group of internal and external stakeholders specific to the pandemic called the COVID-19 Prevention Workgroup. Each group meets weekly to discuss the latest issues related to vaccine planning and rollout needs:
  • A breakdown of the ADH’s organizational structure includes the Center for Health Advancement, the Center for Health Protection, the Center for Local Public Health that oversees the ADH Local Health Units, and the Center for Public Health Practice that includes Epidemiology and Health Statistics

Technology Infrastructure

  • Arkansas is currently working with Envision on onboarding to the IZ Gateway Connect and Share. The Data Use Agreement (DUA) for IZ Gateway Connect is in process.
  • The IZ Gateway is sponsored by the CDC Immunization Information Systems Support Branch and led by the U.S. Department of Health and Human Services Office of the Chief Technology Officer.
  • The IZ Gateway is securely hosted on Amazon Web Services through the Association of Public Health Laboratories (APHL).
  • Envision is working on setting up connectivity for IZ Gateway CONNECT. The connection will be configured in Arkansas’ Test & Production environments.
  • The Immunization (IZ) Gateway SHARE component will be used to share data with other jurisdictions.
  • Arkansas will work closely with Envision to “test the data transfer via the IZ Gateway to ensure that all required information is reported.”

Security

  • The “ADH Local Health Units in conjunction with ADH Health Preparedness and Emergency Response (HPER) Coordinators maintain communication and coordination with community leaders and businesses to assist with security.”
  • Arkansas is in the process of completing a Data Use Agreement with the Association of Public Health Laboratories (APHL) and CDC for the sharing of information between Arkansas and these entities.

COVID vaccination plans for California

Distribution

  • Equitable distribution of the vaccine will be emphasized in California. Cal OES will work with the Colorado Department of Public Health and Environment (CDPH) to distribute the COVID-19 vaccine if needed and is prepared to adapt its existing system to coordinate distribution of the vaccine. Medical supplies could be distributed from Cal OES’ warehouses, as needed.
  • California established the California Governor’s COVID-19 Vaccine Task Force consisting of subject matter experts and representatives from multiple departments, agencies, and disciplines with the overall goal of planning for and implementing a strategy for vaccine distribution throughout the State.
  • To support the distribution of the vaccine, the California Governor’s COVID-19 Vaccine Task Force is coordinating with the Cal OES’ Logistics Task Force on planning efforts that include warehouses, cold storage, and logistical and commodity movement. CDPH is also working with the Critical Infrastructure & Transportation Task Force to help identify key points of contact and workforce populations – including the California Highway Patrol and California Department of Motor Vehicles.
  • The smooth distribution of vaccine for Phase 1 is based on the States’ existing close working relationships and partnerships. The State has been working collaboratively with the California Conference of Local Health Officers (CCLHO), California Health Executives Association of California, and local health departments to best identify the appropriate audiences within their jurisdictions for Phase 1 vaccine distribution.
  • Additionally, the officials are communicating with inpatient/acute care hospital networks and skilled nursing networks to prepare for what vaccine distribution will look like. “Within California, it is anticipated that planned redistributions of COVID-19 vaccine will apply to either: 1) health systems or multi-jurisdictional organizations with depots incorporated into their infrastructure; or 2) smaller providers needing less than the minimum order requirements.”
  • All planned redistribution requests will be handled directly by the CDPH Immunization Branch and not by local health departments. For redistribution requests to be approved, entities must sign and adhere to the terms of the CDC COVID-19 Vaccine Redistribution Agreement. Only a limited number of organizations will be allowed to redistribute vaccines upon approval from the State
  • Specific guidance and requirements for COVID-19 vaccine management during redistribution events will be developed and communicated to entities with CDPH approval to conduct vaccine redistribution. Sites will be required to “submit protocols for vaccine management at the main depots, vaccine transport & relocation processes, equipment, and temperature monitoring, and receiving protocols.”

Storage

  • Vaccine shipments must be stored at the location identified and approved as part of the provider enrolment application. If an unplanned transfer of the vaccine is required, local health departments will be solely responsible for the changes.
  • CDPH can work with “Cal OES and assist local health departments with the storage of vaccines if needed. CDPH has two locations, and the vaccine can be repositioned to either the State RSS in West Sacramento (for Northern California) or to the Direct Relief warehouse in Santa Barbara (for Southern California). Both locations have refrigerated and frozen storage capabilities.”
  • In addition to offering these storage locations, CDPH has “leased climate-controlled transportation equipment to assist with unplanned vaccine repositioning. This equipment, including active pallet shippers and box trucks, can be sent to local health departments to provide temporary storage space. With its cold chain storage equipment, CDPH is prepared to lend assistance in the form of replacement equipment.”
  • CDPH is working with OES logistics and has developed a logistics annex document that covers contingency plans if local health departments, vaccine administration sites, and distribution centers cannot store the vaccine as planned. ULT freezers and transport freezers purchased by the State will be positioned geographically to accommodate ULT vaccine redistribution, whether planned or unplanned.
  • Local health departments are responsible for assessing the cold chain capacity of individual providers within their jurisdictions.
  • During enrollment, the system will “collect critical information related to providers’ cold chain capabilities. This information includes data and photo uploads of the providers’ storage and temperature monitoring equipment. Providers with unacceptable cold storage capacity will be alerted during the enrollment and flagged by the system, and local health department officials will be able to deny or cancel their enrollment. The system will not allow vaccines to be allocated to these providers.”
  • CDPH will develop a plan for ongoing assessment of cold chain capacities and will provide critical data points related to cold chain capabilities for each individual provider. The data will help local entities make informed allocation decisions.

Prioritization / Hierarchy of Who Receives Vaccine

  • Special attention is being paid to identify the initial populations to receive the vaccine, including persons in Phase 1-A and Phase 1-B since Phase 1 populations will be the first to receive available doses of the vaccine.
  • California has established an Allocation Data Team to identify, estimate, and locate the critical populations in California. The Data Team is conducting target population analysis and is ​comprised of data analysts, research scientists, and other healthcare professionals from many departments.
  • The Allocation Data Team is looking at several data sets from various State, federal, and non-profit sources to give a clear picture of different critical infrastructure populations that are comprehensive and useful.
  • California is also in the process of identifying disadvantaged populations and communities that have been disproportionately impacted by COVID-19 in terms of higher rates of infection, hospitalization, and deaths.
  • Within healthcare personnel populations, they are “distinguishing personnel who work primarily in acute inpatient settings and congregate residential settings such as skilled nursing facilities from those who work in outpatient care. Among the personnel who provide inpatient care, they are further trying to segment this population into those who work in direct patient care areas and those who do not. Additionally, their goal is to stratify this data down to an individual hospital level.”

Data & Reporting

  • California has a secure and confidential Immunization Information System to be used to improve immunization coverage to protect people in Californians from COVID-19. All COVID-19 vaccine doses administered data from providers will be kept in California’s Immunization Registry (CAIR).
  • California CAIR is made up of three distinct registries: “CAIR2; CAIR San Joaquin; and CAIR San Diego. All three registries support real-time immunization record query messages (QBP) and will return immunization histories or immunization histories plus forecasting in a response file (RSP). Each registry is accessed online to help providers and other authorized users track patient immunization records, reduce missed opportunities, and to help fully immunize Californians against COVID-19.”
  • Dose information administered by providers will be entered into California’s IIS through our proven and established methods.
  • During the COVID-19 vaccination campaign, providers and other vaccine administration sites will be “connected to California’s IIS. The CDC has created the IZ Gateway to facilitate a coordinated COVID-19 vaccination response and an up-to-date exchange of immunization data. The IZ Gateway Connect component enables large national provider organizations to report and query immunization data with multiple IIS, including California’s.”
  • Every 24 hours, California plans to send COVID-19 vaccine administration data from its three registries to the CDC. All “three registries are prepared to submit vaccination data either through direct login access to the CDC IZ Data Lake or through the IZ Gateway Connect component. Plans are occurring so that CAIR2 is also ready to supply the requested deidentified data.”
  • CDC requires that vaccination providers enrolled in the COVID-19 Vaccination Program report certain data elements for each dose administered within 24 hours of administration. California will “assess the capability of its COVID-19 vaccination providers to meet federal and California-specific reporting requirements before or upon enrollment. California will facilitate and monitor IIS reporting by enrolled vaccination providers. If data will be entered off site, vaccination providers will be required to report dose data to California’s IIS or other designated systems within 24 hours.”
  • California plans to have 100% of its providers report at least every 24 hours. CDPH will run daily queries to ensure that providers are complying with this reporting requirement.
  • The State will also create vigorous technical assistance to help providers to comply. Sites that violate the rules will first receive a warning with information detailing how to obtain technical assistance to be in compliance. Providers repeatedly out of compliance could be denied vaccine reorders in extreme cases.
  • IIS will be used to monitor vaccine doses administered and to generate vaccination coverage estimates among different population groups. Vaccination coverage reports will also help California estimate the percentage of people who have received specific COVID-19 vaccines.

Governance

  • The California Health and Human Services Agency (CHHS) is the cabinet-level agency that oversees departments and offices that provide a wide range of services in the areas of health care, public health, mental health, alcohol and drug treatment, income assistance, social services, and assistance to people with disabilities.
  • Within CHHS, the California Department of Public Health is leading much of the State’s COVID-19 response activities.
  • The Director of the Cal OES is the State Emergency Manager. CHHS serves as the lead administrative agency for two emergency support functions of Public Health and Medical and Mass Care and Shelter.
  • CDPH and Emergency Medical Services Authority (EMSA) implement emergency functions. The Standardized Emergency Management System (SEMS) is the cornerstone of California’s emergency response system
  • Each of California’s 58 counties and three cities, made up of California’s 61 local health jurisdictions, have Public Health Departments that serve the residents within their jurisdictions. The local organizational structure is similar to that of State government, in which public health departments are typically under a larger local Health and Human Services Agency.
  • CDPH “works closely with local health departments to coordinate and provide technical assistance for all of ​the different aspects of provider enrollment, data elements, and outreach.”

Technology Infrastructure

  • A select number of potential providers will be invited to register and enroll in the State’s new distinct technology system, the COVID19 Provider Enrollment and Ordering Management System (“provider system”), which is currently under development.
  • CDPH will use a State-wide COVID-19 Provider Customer Service Call Center to support local provider enrollment efforts during both phases of COVID-19 provider enrollment, and later support vaccine ordering, shipment inquiries, and vaccine management efforts.

Security

COVID Vaccination Plans for Colorado

Distribution

  • The COVID-19 vaccine will be distributed in a phased approach using McKesson, Immunization Information System (CIIS), and Vaccine Tracking System (VTrckS).
  • Providers will also receive supplemental supply kits like needles, syringes, surgical masks, alcohol prep pads, COVID-19 vaccination cards, and face shields, through this delivery system, in addition to COVID-19 vaccines. The amounts of kits ordered will match vaccine orders, but mixing kits will also be used “for vaccines that require reconstitution with diluent or adjuvant.”
  • CDC’s National Center for Immunization and Respiratory Disease (NCIRD) manages the VTrckS public health vaccine distribution system.
  • As per the protocol in place, vaccine shipments in Colorado will be distributed directly to the enrolled provider location. The State will use the existing process to order and distribute the COVID-19 vaccine to enrolled providers. The public health system will be distributing the COVID-19 vaccines to many providers who haven’t previously administered publicly-purchased vaccines since the COVID-19 vaccine will not be available for private purchase by physicians, hospitals, pharmacies, and other health care entities.
  • Phase 1 vaccine orders will be placed by the CDPHE using CIIS and uploaded into VTrckS to ensure that the vaccine is going to vetted healthcare facilities identified as serving critical populations. Orders will be placed in 100 dose increments with the potential need for redistribution to smaller facilities. CDPHE anticipates possible redistribution in all phases of vaccination. Estimates for the number of doses required to vaccinate a facility’s target population will be based on the number of high priority patients and staff each participating provider expects to immunize.
  • The initial shipments will be prioritized for critical health care workers. Once Colorado moves to Phase II and beyond when vaccine supply is adequate, vaccination providers serving other priority groups will be able to order COVID vaccines through CIIS.

Storage

  • The CDPHE will require providers to maintain storage guidelines set by the CDC. Following proper cold chain management is important to ensure that COVID-19 Vaccines stay viable. Individual provider locations approved for enrollment in the COVID-19 Vaccination Program will receive training in storage and handling related to the COVID vaccine(s) being received as outlined by CDC.
  • The ability for uninterrupted 24-hour temperature monitoring will be required. CDPHE may supply a digital data logger to providers who don’t have an approved, calibrated thermometer. Only approved storage units that maintain appropriate temperatures will be allowed for storage of COVID-19 vaccines as outlined by CDC in the COVID-19 Vaccine Storage and Handling Toolkit Addendum.
  • Providers will be required to take and document two daily current temperature and one daily minimum/maximum temperature. All temperature excursions must be reported to CDPHE as soon as possible. For providers who are new to the administration of publicly-funded vaccines, “submission of temperature data from a continuous temperature monitoring device, a vaccine management plan, and pictures of labeled electrical outlets and breakers with “Do Not Disconnect” tag/sticker will be required.”
  • The vaccine management plan requires proper storage guidelines, documentation of training completion, and signatures for the Primary Coordinator, Secondary Coordinator, and Provider of Record. The plan will also include instructions for preparing for vaccine transport in the event of an emergency and the designation of a backup location.
  • If Colorado receives COVID-19 vaccines requiring ultra-cold storage, they will be distributed exclusively to providers with the demonstrated capacity to properly maintain storage requirements and who have large throughput capacity, thereby maximizing vaccine viability and minimizing the chance of wastage or vaccine loss. Frozen and ultra-cold vaccines will not be redistributed.
  • Storage unit and temperature monitoring “information will also be collected during the formal enrollment process for providers completing the CDC COVID-19 Vaccination Program Provider Agreement. In coordination with local public health agencies (LPHAs), vaccination providers will be identified as possible redistribution depots based on storage unit size and capability, population served, adherence to Colorado temperature monitoring and vaccine administration requirements, and local needs.”

Prioritization / Hierarchy of Who Receives Vaccine

  • Colorado plans the following approach to vaccine allocation with an increasing number of eligible individuals matching increases in vaccine availability:
  • Phase 1A: Critical workforce that includes Inpatient Healthcare workers, including those at assisted living facilities, and Outpatient Healthcare Workers, including home health workers and outpatient pharmacists
  • Phase 1B: Critical workforce that includes EMS, firefighters, police, public health personnel, correctional workers.
  • Phase 1C: Highest risk individuals that include residents/patients of assisted living, long-term care, and nursing home facilities.
  • Phase 2A: Congregate housing and essential workers. Congregate housing includes adults experiencing homelessness living in congregate shelters, incarcerated adults, adults living in group homes, workers living in congregate settings (e.g., ski industry, some agricultural workers, etc.), and students living in college dorms or other congregate housing. Essential workers include those with direct interaction with the public (e.g., grocery store workers, teachers, childcare, etc.), those working in high-density settings (e.g., agricultural, meat-packing workers, etc.), and those serving persons that live in high-density settings (e.g., homeless shelter or group home workers).
  • Phase 2B: Higher risk individuals to include adults 65 or older, adults with obesity, diabetes, chronic lung disease, significant heart disease, chronic kidney disease requiring dialysis, active cancers, and or immunocompromised status, and adults who received placebo during a COVID-19 vaccine clinical trial.
  • Phase 3: The general public to include adults 18-64 without high-risk conditions.

Data & Reporting

  • COVID-19 vaccine administration data will be collected and consolidated within CIIS through existing processes and interfaces and through new processes that will be implemented. Providers currently submit data to CIIS through a real-time bi-directional interface, batch file uploads, and direct data entry into the CIIS web application.
  • Colorado will also implement new processes to connect new COVID-19 vaccination providers to CIIS and support mass vaccination clinics. The capability to report vaccine administration data will be considered when enrolling COVID-19 vaccination providers. An expedited CIIS onboarding process will be implemented to establish electronic interfaces for new providers who may currently enter data into an EHR and have the resources to support an IIS interface implementation project.
  • To make sure providers have multiple options to submit immunization data to CIIS, the State is looking at adding new processes. New functionality to upload flat file imports into CIIS will be available by November 2020.
  • Colorado will use CIIS to submit daily COVID-19 vaccine administration data to the Centers for Disease Control and Prevention (CDC) via the Immunization (IZ) Gateway “Connect” component.
  • For Phase 1, providers that have the capacity to vaccinate critical populations will be prioritized for enrollment in the CDC COVID-19 Vaccination Program.
  • The CIIS IZ Quick Add module or another mass vaccination management system capable of interfacing with CIIS to facilitate reporting doses administered within 24 hours could be used. It is thought that this reporting requirement could unintentionally burden underserved communities served by under-resourced providers.
  • To ensure greater equity, Colorado is identifying ways to support providers in meeting the 24-hour reporting requirement, including hiring temporary staff to assist with direct data entry into CIIS on behalf of COVID-19 vaccination providers.
  • Colorado will offer providers the Direct Entry Into CIIS, Immunization (IZ) Quick Add Module in CIIS, Flat File Import, Electronic Data Exchange, and A Stand-Alone Mass Vaccination Tool with Interface to CIIS to enable providers to report COVID-19 vaccine data to Colorado Immunization Information System (CIIS).

Governance

  • The CDPHE has been fully engaged in the COVID-19 Response since January 21, 2020. CDPHE’s Department Operations Center (DOC) is integrally connected to the State Emergency Operations Center (SEOC) and Colorado Department of Public Safety’s Division of Homeland Security and Emergency Management (DHSEM), through the establishment of a Unified Coordination Center (UCC) in which both agencies are well represented.
  • A multi agency Colorado Joint COVID Vaccine Planning Team was created and began meeting weekly on August 11, 2020. This planning team consists of a robust group of individuals from across the State and disciplines. Five unique Lines of Effort (LOE) with oversight from a Steering Committee were identified and began work on various action items.
  • The Colorado Joint COVID-19 Vaccination Planning Team includes representation from more than 20 agencies across the State and from a broad spectrum of agencies and disciplines. The team is made up of representatives from both Governmental and Non-Governmental entities. In addition to the broad representation of the Colorado Joint COVID Vaccination Planning Team, a far-reaching stakeholder review process is planned.

Technology Infrastructure

  • The Colorado Governor’s Office of Information Technology (OIT) is responsible for maintaining and updating CIIS servers.
  • Colorado has a very robust IIS and many fields can be submitted through the user interface directly or via electronic data exchange. As of September 2020, 90% of the data submitted to CIIS comes in through electronic data exchange. For all electronic data, 78% is reported in real-time to CIIS.

Security

  • Colorado will have a Public Portal available by the end of 2020 or early 2021. This secure, online portal will enable individuals, parents, and guardians to access, save, and print official certificates of immunization directly from CIIS.
GLENN TREVOR
Glenn is the Lead Operations Research Analyst at The Digital Momentum with experience in research, statistical data analysis and interview techniques. A holder of degree in Economics. A true specialist in quantitative and qualitative research.

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